| NPI | 1003544180 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 146L00000X Emergency Medical Technician, Paramedic (Licence: KS 61521) |
| Enumeration Date | 2022-08-08 |
| Last Update Date | 2022-08-08 |